Benjamin Clark, PMHNP-BC
NPI #1467298257 in Washington, Illinois
Provider Information
- NPI Number
- 1467298257
- Entity Type
- Individual
- Name
- Benjamin Clark, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- Jul 2, 2024
- Last Updated
- Jul 15, 2024
Practice Location
- Address
- 1204 KINGSBURY RD
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-1213
- Phone
- (309) 253-4519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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